Mob ntshav qab zib mellitus hauv cov menyuam yaus: ua rau thiab kho mob

Tus kab mob no tuaj yeem txheeb tau hauv tus menyuam mos thiab laus dua. Vim li cas cov ntshav qab zib tshwm sim, ob peb paub. Lub etiology ntawm nws yog ntau haiv neeg. Feem ntau, cov piam thaj hauv ntshav yuav pib nce hauv cov menyuam yaus txij li 6 txog 12 xyoos. Ntxiv mus, pathology nws muaj nws tus yam ntxwv. Tag nrho cov txheej txheem hauv tus menyuam lub cev tau nrawm dua li ib tus neeg laus. Vim tias qhov no, hauv cov menyuam yaus tus kab mob no nyob rau hauv ib daim ntawv hnyav dua, thiab cov kev mob tshwm sim yuav tshwm sim ntau.

Qhov txiav siab ntawm cov neeg mob me me uas muaj ntshav qab zib yog thawj qhov kev txom nyem. Nws qhov ntev me me: los ntawm 10 xyoo, nws muaj qhov ntev li ntawm 12 cm thiab ib qho hnyav ntawm 50 grams xwb. Yog li ntawv, txawm hais tias qhov twg ua haujlwm ua tsis zoo nyob hauv nws txoj haujlwm tseem ceeb heev rau tus menyuam.

Hauv kev tshawb fawb, ntshav qab zib mellitus, uas pom hauv cov menyuam yaus thiab cov neeg laus, tau muab faib ua thawj (tshuaj insulin-tiv thaiv) thiab hom thib ob (tsis-insulin-dependant). Qhov sib txawv ntawm lawv yog qhov tseem ceeb. Cov menyuam yaus feem ntau raug kev txom nyem los ntawm thawj hom mob. Cov ua rau mob ntshav qab zib tuaj yeem ua sib txawv.

Cov tsos mob ntawm tus kab mob hauv cov menyuam yaus

Cov neeg laus yuav tsum them sai sai rau kev hloov pauv ntawm tus cwj pwm ntawm tus menyuam, thiab yog tias ua tau, sab laj nrog tus kws kho mob tshwj xeeb, vim tias cov ntshav qab zib hauv cov menyuam yaus tau nce nrawm dua. Nrog kev pab tsis raws sijhawm, ntshav qab zib poob siab thiab coma tshwm sim. Feem ntau tus me nyuam raug xa mus rau hauv tsev kho mob hauv qhov tsis nco qab lawm.

Thawj qhov uas muaj ntshav qab zib hauv ib tug menyuam:

nqhis dej tsis tu ncua thiab zoo nkaus li qhuav ntawm qhov ncauj (qhov feem ntau ntawm qhov muaj tus kab mob),
nquag tso zis,
kev tshaib kev nqhis
poob phaus
pom kev pom
malaise, tsis muaj zog.

Cov no yog thawj qhov tsos mob ntawm tus kabmob. Yog lawm, nws tsis yog txhua qhov tsim nyog uas lawv yuav tshwm tawm tsam ntawm cov keeb kwm ntawm cov ntshav qab zib, cov tsos mob zoo li no tuaj yeem tshwm sim nrog ntau lwm yam kabmob. Txawm li cas los xij, qhov pom ntawm txawm tias ib ntawm lawv hauv menyuam yaus yuav tsum yog lub hauv paus tseem ceeb rau cov niam txiv hu rau kws kho mob. Dhau li ntawm qee qhov kev sim, koj tuaj yeem tsim kev kuaj mob kom raug.

Cov tsos mob ntawm tus mob ntshav qab zib (main) tseem ceeb:

tso zis (tawm tsam tom qab ntawm tso zis heev) nrog ib tug neeg tsis hnov tsw ntawm acetone,
ua rau nqhis dej, tshwj xeeb tshaj yog thaum tsaus ntuj,
ntse poob hauv keeb kwm ntawm kev noj zaub mov zoo,
dryness thiab khaus ntawm daim tawv nqaij,
kev hnov mob tom qab tso zis.

Cov tsos mob zoo li no tau pom tseeb dua thiab ua rau nws muaj peev xwm xav tias muaj ntshav qab zib hauv menyuam yaus txawm tsis muaj kev kuaj mob ua ntej.

Dab tsi ua rau muaj tus mob?

Cov ua rau muaj ntshav qab zib hauv menyuam yaus tuaj yeem muaj ntau yam sib txawv. Qhov tseem ceeb suav nrog:

Txais nyiaj. Thawj qhov uas mob ntshav qab zib los ntawm yog qhov xav tau. Feem ntau, pathology tshwm sim hauv ib qho ntawm cov txheeb ze.
Kab mob Cov kev tshawb fawb niaj hnub no tau ua pov thawj tias qoob rubella, qhua dej thiab lwm yam kabmob kis ua rau lub cev puas tsuaj.
Noj ntau ntau ntawm cov zaub mov muaj suab thaj. Kev quav rau cov zom cov zaub mov uas yooj yim (qab zib, ncuav qab zib, chocolate) yog qhov yuav tsum tau ua rau kev rog. Lub txiav ua haujlwm rau qhov kev txwv ntawm nws lub peev xwm thiab maj mam ploj zuj zus, vim tias cov kua dej ntau lawm txo qis lossis nres kiag li.
Sedentary lub neej. Kev ua haujlwm qis qis tuaj yeem ua rau koj qhov hnyav nce thiab qhov kev ua tsis zoo ntawm cov khoom noj hauv lub cev, ua rau muaj ntshav nce ntxiv.
Kev tiv thaiv kab mob tsis muaj zog tiv thaiv tom qab ntawm kev mob khaub thuas ntev. Tus menyuam lub cev tsuas nres qhov kev tiv thaiv ib txwm tiv thaiv cov neeg kis tus kab mob, vim qhov no thiaj li hu ua Cov kab mob "Muaj Kev Nyuaj Siab" kis tau rau cov nruab nrog cev sab hauv, nrog rau cov leeg hlwb.

Ib qho ntxiv, ntau cov kiav txhab mob lom ua rau lub plab zom mov, mob plab, thiab ua kom lom cov zaub mov yog ua raws li cov ntshav qab zib hauv cov menyuam yaus.

Lub neej ncua

Insulin-hom mob ntshav qab zib hom I, tseem tawm tsam ntawm keeb kwm ntawm kev txhim kho txoj kev kho tshiab, yog qhov muaj mob hnyav. Nws suav hais tias tsis tuaj yeem kho thiab tuaj yeem tshwm sim sai. Vim qhov tseeb hais tias pathology feem ntau kuaj mob hauv cov menyuam yaus thiab tub ntxhais hluas, nws yog hu ua ntshav qab zib ntawm cov tub ntxhais hluas.

Kev tiv thaiv kab mob yuav xav tau kev hloov kho cov tshuaj hormone, yog li ntawd qhov txo qis ntawm kev tsim cov tshuaj tua kab mob pancreatic yog kho los ntawm nws nkag los ntawm sab nraud. Yog tias tsis muaj cov sij hawm txo qis hauv cov ntshav qabzib, lub ntsej muag glycemic tshwm sim nrog qhov kev cia siab ntawm qhov ua tau rau neeg tuag taus. Ntxiv rau, kev noj tshuaj tsis xwm yeem los ntawm cov kws kho mob koom nrog tuaj yeem ua rau muaj ntau yam mob ntshav qab zib hauv cov menyuam yaus cuam tshuam nrog kev puas tsuaj rau lub raum, lub plawv, thiab qhov muag.

Raws li, kev cia siab lub neej ntawm cov neeg mob uas muaj ntshav qab zib hom I feem ntau yuav yog nyob ntawm nws txoj kev ua raws li cov insulin nruj, cov cai ntawm kev noj zaub mov zoo, thiab kev tawm dag zog. Kev txheeb cais los ntawm lub sijhawm dhau los hais tias txij li kuaj pom muaj tus kabmob, tus neeg nruab nrab tau nyob rau thaj tsam li 30 xyoo. Tam sim no, cov kev cia siab tau dhau los ua qhov muaj kev cia siab.

Yog li, cov kws kho mob sau tseg cov neeg mob ntshav qab zib tuag, uas muaj hnub nyoog 65-70 xyoo. Hauv lwm lo lus, niaj hnub no cov neeg mob uas muaj tus kab mob no nyob ntau npaum li cov neeg zoo tib yam. Feem ntau nws yuav nce raws lub siab sab hauv ntawm tus neeg mob ntshav qab zib. Kev xav zoo thiab tsis muaj kev ntxhov siab ntawm lub siab (psychoemotional stresses) muaj txiaj ntsig zoo rau kev noj qab haus huv thiab nce lub neej ntawm cov neeg mob hnyav.

Kev Tiv Thaiv

Yuav ua li cas kom tsis txhob muaj tus kabmob? Kev tiv thaiv mob ntshav qab zib hauv cov menyuam yaus yog qhov yooj yim. Hmoov tsis zoo, cov haujlwm uas tau ua tiav tiv thaiv kev tiv thaiv kev tiv thaiv ntshav qab zib tsuas yog tsis muaj. Txawm li cas los xij, nws muaj peev xwm txhawm rau txo qhov muaj feem ntawm tus kabmob, tiv thaiv kev cuam tshuam thiab nce lub neej ntev. Nws yuav tsum nco ntsoov tias tiv thaiv tus mob ntshav qab zib thaum tseem hluas yuav tshwm sim rau yav tom ntej.

Ua ntej tshaj plaws, koj yuav tsum ua raws li kev noj haus kom zoo, uas tso cai rau koj kom muaj kev sib txig sib luag ntawm cov dej hauv lub cev (kab mob ua kua txig ua cov bicarbonate nyob rau hauv daim ntawv ntawm txoj kev daws kom ntseeg tau cov ntshav ntws mus rau hauv cov hlwb). Yog li, koj yuav tsum tau qhia koj tus menyuam haus 1 khob dej huv tom qab nws sawv thiab ib nrab teev ua ntej noj mov.

Nrog rau qhov hnyav tshaj hauv tus menyuam, niam txiv yuav tsum saib xyuas cov khoom noj muaj calorie ntau ntawm nws cov zaub mov noj, maj mam txo qis. Nws yog qhov zoo dua rau kev pub mis ntau dua, tab sis nrog cov khoom noj tsawg dua. Yog li nws yuav yooj yim rau nws tau siv los txo cov khoom noj kom tsawg. Tshwj xeeb koj yuav tsum saib xyuas qhov kev txo qis ntawm cov me nyuam cov zaub mov ntawm cov khoom noj uas yooj yim (carbohydrates, chocolate, chocolate khoom). Nws raug nquahu kom zam lawv zoo rau nws. Nws yog vim kev quav tshuaj tiv thaiv rau cov khoom qab zib uas yog yam ntshav qab zib xyoo II tuaj yeem pib. Txog kev npaj cov khoom noj qab zib, nws yog qhov zoo dua los siv sorbitol lossis xylitol.

Cov niam txiv yuav tsum paub txog qhov pom tus mob ntshav qab zib ntxov li cas kom thiaj li ntsib kws kho mob raws sijhawm. Thaum pib kho tus mob sai sai, muaj kev pheej hmoo ua tau zoo.

Kev tawm dag zog lub cev tseem ceeb heev. Ntxiv mus, ib teev lossis ob hnub ua si football hnub ib hnub txaus. Kev tawm dag zog yuav pab ua rau cov metabolism hauv lub cev li qub, txhim kho lub plab zom mov, nrog rau lub thiav leeg, thiab menyuam tuaj yeem muaj txoj hmoo tsis txhob muaj qhov mob ua kom mob no.

Kev faib tawm thiab mob hnyav rau menyuam yaus ntshav qab zib

Mob ntshav qab zib mellitus tuaj yeem muaj ntau qib sib txawv, uas txiav txim siab li cas hais tias cov tsos mob muaj li cas, thiab cov kev kho mob twg yuav kho tau:

thawj degreeCov. Hauv qhov no, glycemia stably nyob rau tib theem thaum nruab hnub thiab tsis nce siab tshaj 8 mmol / L. Tib yam mus rau glucosuria, uas yeej tsis nce siab dua 20 g / l. Kev kawm ntawv qib siab no suav tias yooj yim tshaj plaws, yog li ntawd, kom tswj hwm tus neeg mob txaus siab, tus neeg mob tau ua raws li nruj me ntsis rau kev noj haus,
theem obCov. Hauv theem no, qib ntawm glycemia nce mus txog 14 mmol / l, thiab glucosuria - txog 40 g / l. Cov neeg mob zoo li no muaj feem ntau yuav txhim kho ketosis, yog li lawv tau pom tias cov tshuaj tiv thaiv kab mob thiab cov tshuaj insulin,
thib peb degreeCov. Hauv cov neeg mob zoo li no, glycemia nce mus txog 14 mmol / L thiab fluctuates thoob plaws hnub, thiab glucosuria yog tsawg kawg 50 g / L. Tus mob no yog tsim los ntawm kev txhim kho ketosis, yog li ntawd, cov neeg mob tau qhia cov tshuaj insulin tas li.

Menyuam yaus cov ntshav qab zib tau raug muab faib ua 2 hom:

1 homCov. Qhov no yog insulin-hom mob ntshav qab zib, uas qhov kev rhuav tshem ntawm lub hlwb pancreatic tshwm sim, vim tias kev tsim cov tshuaj insulin ua tsis tiav, thiab nws yuav tsum tau them nyiaj tas li los ntawm kev txhaj tshuaj,
2 homCov. Hauv qhov no, kev tsim cov tshuaj hormone insulin txuas ntxiv, tab sis vim qhov tseeb tias cov hlwb tau poob lawv qhov kev cuam tshuam rau nws, ntshav qab zib loj hlob tuaj. Hauv qhov no, cov tshuaj insulin tsis raug sau tseg. Hloov chaw, tus neeg mob coj cov tshuaj qabzib-txo qis cov tshuaj.

Kev kho tshuaj Insulin thiab cov tshuaj ntshav hypoglycemic

Txhawm rau tiv thaiv kev tsis nco qab thiab tuag, nrog rau kev tshem tawm tsis zoo thiab mob hnyav rau tus menyuam mob, txhaj tshuaj insulin thiab cov tshuaj tiv thaiv kab mob ntshav qab zib tau siv. Qhov ntau npaum li cas ntawm kev txhaj tshuaj thiab lawv cov ntau zaus yog txiav txim los ntawm tus kws kho mob. Cov tshuaj hormones uas tau txais hauv lub cev yuav tsum nruab nrab feem ntawm cov piam thaj tso tawm hauv cov ntshav.

Tsis pom zoo txo lossis ntau ntxiv cov tshuaj ntawm cov tshuaj yam tsis muaj kev qhia tswv yim. Txwv tsis pub, koj tuaj yeem tsim kev puas tsuaj rau kev noj qab haus huv ntawm tus menyuam, ua rau kev txhim kho ntawm kev mob hnyav.

Cov tshuaj muaj ntshav qab zib feem ntau kho rau cov neeg mob ntshav qab zib hom 2. Tab sis ntawm no cov lus pom zoo thiab cov lus qhia ntawm cov kws kho mob koom nrog kuj tseem xav tau.

Cov ntsiab lus kev noj haus

Kev noj zaub mov zoo yog tus yuam sij rau kev kho pob tshuaj tiv thaiv kev ua kom zoo. Ib tug menyuam yaus raug mob los ntawm kev mob nkeeg no yuav tsum tau qhia kom noj zaub mov kom raug txij thaum yau los. Txhawm rau tshem tawm cov xwm txheej ntxhov siab rau tus neeg mob, nws pom zoo kom hloov tsev neeg noj zaub mov kom zoo rau cov zaub mov ntawm tus neeg mob ntshav qab zib.

Yog li, txhawm rau txhim kho cov mob ntawm tus mob ntshav qab zib me, koj yuav tsum ua raws li cov qauv yooj yim nram no:

kev noj zaub mov zoo
txo cov kev ua kom tau cov carbohydrate vim qhov tsis lees txais ntawm cov qos yaj ywm, semolina, nplej zom thiab tsis kam muab,
txwv cov zaub mov noj ntau npaum li cas (koob tshuaj txhua hnub yuav tsum tsis pub ntau tshaj 100 g),
tsis kam ntawm ntsim, qab zib, qab ntsev thiab kib khoom noj,
noj mov txog 6 zaug hauv ib hnub hauv qhov me me,
yuam siv cov zaub thiab txiv hmab txiv ntoo kom ntau,
noj mov 1 zaug nyob rau ib hnub buckwheat, pob kws lossis oatmeal zaub mov noj,
siv es tsis txhob muaj piam thaj hloov.

Lub cev qoj ib ce

Rog dhau rau neeg mob ntshav qab zib yog qhov tshwm sim ncaj qha ntawm cov teeb meem metabolic. Txhawm rau daws qhov teeb meem no nrog lub cev qhov hnyav, tau pom zoo kev siv lub cev.

Nws pab ua kom cov leeg muaj zog, ua kom ntshav siab, qis cov roj cholesterol, thiab tseem txhim kho cov txheej txheem kev zom zaub mov hauv cov menyuam lub cev.

Kev ua kis las rau cov neeg mob ntshav qab zib yog sib kis, txij li thaum kawm, kev hloov pauv ntawm cov ntshav qab zib yog qhov ua tau, uas tuaj yeem ua rau tsis zoo ntawm cov neeg mob me..

Nws yog qhov zoo dua yog tias nws yuav raug cov khoom thauj ncaj ncees tau pom zoo nrog tus kws kho mob, uas yuav muab rau tus menyuam yooj yim, tsis muaj kev phom sij rau lub neej thiab kev noj qab haus huv.

Puas yog nws tuaj yeem kho ntshav qab zib hauv menyuam yaus ib txhis?

Ntxiv mus, ntxiv rau kev cuam tshuam ntawm cov txiav, lub siab ntawm glycemia thaum lub sijhawm tuaj yeem ua rau kev txhim kho ntawm ntau yam kev cuam tshuam, cuam tshuam rau lwm yam kabmob: lub raum, cov hlab ntsha, qhov muag, thiab lwm yam.

Txhawm rau cov txheej txheem rhuav tshem mus sai li sai tau, thiab tus menyuam raug kev txom nyem tsawg los ntawm kev ua kab mob, nws yog qhov yuav tsum tau tswj hwm qhov xwm txheej tsis tu ncua thiab yuav tsum ua raws li cov lus qhia ntawm tus kws kho mob tuaj koom.

Nws yog qhov xav tau heev rau cov neeg mob kom dhau los ua tus cai tsim nyog thiab kev paub, ntau ntxiv txog qhov koj tuaj yeem kawm thaum kawm nyob rau hauv tsev kawm ntawv rau cov neeg mob ntshav qab zib.